Health Condition 1: I21- Acute myocardial infarction Health Condition 2: I25- Chronic ischemic heart disease Health Condition 3: I20-I25- Ischemic heart diseases
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients posted for elective Off Pump Coronary Artery Bypass Surgery (OPCAB) with left ventricular ejection fraction (LVEF) more than 40 percentage.
Exclusion criteria
Exclusion criteria: Combined valve and coronary surgery, on-pump CABG, redo cardiac surgery, hyperlipidaemia, significant hepatic or renal dysfunction, uncontrolled hypertension, diabetes mellitus, any disorder with immunological dysfunction (like malignancy or positive serological test for the HIV) in the last 6 months, preoperative treatment with nicorandil (an ATP-sensitive potassium channel opener), sulfonylurea (an ATP- sensitive potassium channel blocker).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To evaluate the cardioprotective role of Intralipid (IL) by assessing Troponin ITimepoint: postoperatively 6th hourly, 24th hourly, 48th hourly and 72nd hourly | — |
Secondary
| Measure | Time frame |
|---|---|
| to find out the hemodynamic effect of intralipid on systemic circulationTimepoint: intraoperatively initiating intralipid infusion at 0 min, 1 min, 5 min, 10 min, 15 min, 20min, 25 min, 30 min and postoperatively after shifting;to estimate the clinical effect of inotropic useTimepoint: intraoperatively, POD-1 and POD-2;LVEFTimepoint: at the time of discharge;to find out the effect of intralipid on the serum levels of blood lipids, serum creatinine and total bilirubinTimepoint: pre-operatively, post-operatively POD1 and POD2;to find out the effect of intralipid on the ventilatory hours and length of ICU stay post-operativelyTimepoint: Post-operative period;to find out the outcome on the complications occuring during hospitalisation including arrhythmias, stroke, infection, respiratory failure, hepatic or renal failure, reoperation and mortality will be notedTimepoint: intraoperative and postoperative period | — |
Countries
India
Contacts
All India Institute of Medical Sciences, Bathinda